JABATAN KASTAM DIRAJA MALAYSIA GST - 04 ROYAL MALAYSIAN CUSTOMS DEPARTMENT PERISYTIHARAN CUKAI BARANG DAN PERKHIDMATAN OLEH ORANG SELAIN ORANG KENA CUKAI GOODS AND SERVICES TAX DECLARATION BY PERSON OTHER THAN A TAXABLE PERSON Nota Penting (Important Notes) 1) Sila isikan borang ini dengan menaip menggunakan HURUF BESAR. Please type in using BLOCK LETTERS. 2) Sila rujuk Buku Panduan Borang Cukai Barang dan Perkhidmatan (CBP). Please refer to Goods And Services Tax (GST) Forms Guide. 3) Butiran 2 hingga 9 tidak wajib diisi bagi perisytiharan kali kedua dan seterusnya. Item 2 until 9 are not mandatory for second and subsequent declarations. 4) Ruangan yang bertanda (*) adalah wajib diisi. 5) 6) 7) BAHAGIAN A : BUTIRAN ORANG SELAIN ORANG KENA CUKAI PART A : DETAILS OF PERSON OTHER THAN A TAXABLE PERSON 1) No. Rujukan Orang Selain Orang Kena Cukai Reference No. of a Person Other Than Taxable Person 2) No. Pendaftaran Perniagaan * Business Registration No. * ATAU / OR 3) No. Kad Pengenalan * Identity Card No. * 4) Nama Perniagaan * Name of Business * 5) Alamat Perniagaan * Business Address * Bandar (Town) Negeri (State) Pindaan Amendment Poskod (Postcode) Column with (*) is a mandatory field. Sila tandakan ( X ) dalam petak yang berkenaan. Please tick ( X ) accordingly. Sekiranya mengikrar nilai sifar, sila isi angka "0". If declaring a zero amount, please fill in "0". Sila hubungi Pusat Panggilan Kastam di talian 1-300-88-8500 / 03-78067200 atau emel [email protected] untuk pertanyaan lanjut. Please contact Customs Call Center at 1-300-88-8500 / 03-78067200 or email [email protected] for further enquiry. *GST04* GST-04 | 1 / 3 Permohonan Pulang Balik Apply for Refund P.U. (A) 190 158 Copyright of the Attorney General's Chambers of Malaysia
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JABATAN KASTAM DIRAJA MALAYSIA GST - 04
ROYAL MALAYSIAN CUSTOMS DEPARTMENT
PERISYTIHARAN CUKAI BARANG DAN PERKHIDMATAN OLEH ORANG SELAIN
ORANG KENA CUKAI
GOODS AND SERVICES TAX DECLARATION BY PERSON OTHER THAN
A TAXABLE PERSON
Nota Penting (Important Notes)
1) Sila isikan borang ini dengan menaip menggunakan HURUF BESAR.Please type in using BLOCK LETTERS.
2) Sila rujuk Buku Panduan Borang Cukai Barang dan Perkhidmatan (CBP).Please refer to Goods And Services Tax (GST) Forms Guide.
3) Butiran 2 hingga 9 tidak wajib diisi bagi perisytiharan kali kedua dan seterusnya.Item 2 until 9 are not mandatory for second and subsequent declarations.
4) Ruangan yang bertanda (*) adalah wajib diisi.
5)
6)
7)
BAHAGIAN A : BUTIRAN ORANG SELAIN ORANG KENA CUKAI PART
A : DETAILS OF PERSON OTHER THAN A TAXABLE PERSON
1) No. Rujukan Orang SelainOrang Kena CukaiReference No. of a PersonOther Than Taxable Person
Column with (*) is a mandatory field.Sila tandakan ( X ) dalam petak yang berkenaan.Please tick ( X ) accordingly.
Sekiranya mengikrar nilai sifar, sila isi angka "0".If declaring a zero amount, please fill in "0".Sila hubungi Pusat Panggilan Kastam di talian 1-300-88-8500 / 03-78067200 atau emel [email protected] untukpertanyaan lanjut.Please contact Customs Call Center at 1-300-88-8500 / 03-78067200 or email [email protected] for further enquiry.
*GST04*
GST-04 | 1 / 3
Permohonan Pulang BalikApply for Refund
P.U. (A) 190
158Copyright of the Attorney General's Chambers of Malaysia
No. Pendaftaran Perniagaan * Business Registration No. *
ATAU / OR No. Kad Pengenalan * Identity Card No. *
6) No. Telefon *Telephone No. *
7) No. FaksFax No.
8) Alamat EmelEmail Address
9) Kaedah Pemberitahuan Notification Method
10) Jenis Transaksi Perkhidmatan diimport Ejen Penerima SPTD Lain-Lain Transaction Type Imported Services Agent ATMS Recipient Others
Jika "lain-lain", sila nyatakan If "others", please specify
BAHAGIAN B : BUTIRAN PEMBEKALAN
PART B : DETAILS OF SUPPLY
11) Tempoh Perisytiharan *Period of Declaration *
12) RM Nilai Pembekalan / Perkhidmatan Diimport *Value of Supply / Imported Services *
13) Amaun CBP Kena Dibayar (Butiran 12 x Kadar GST) * RMGST Amount Payable (Item 12 x GST Rate) *
14) Bilangan Prinsipal Berdaftar CBP BagiPerkhidmatan EjenNumber of GST Registered Principal(s) for Agency Services
15) Pecahan Amaun CBP Kena Dibayar Mengikut Kod IndustriBreakdown of GST Amount Payable according to the Industries Code
Sila lengkapkan Borang GST-04A (Please complete GST-04A Form)
Pos (Post) Emel (Email)
HH (DD) - BB (MM) - TTTT (YYYY)
GST-04 | 2 / 3
P.U. (A) 190
159Copyright of the Attorney General's Chambers of Malaysia
No. Pendaftaran Perniagaan * Business Registration No. *
ATAU / OR No. Kad Pengenalan * Identity Card No. *
BAHAGIAN D : AKUAN
PART D : DECLARATION
Saya, dengan ini mengaku bahawa maklumat dinyatakan dalam borang ini adalah benar, betul dan lengkap. I, hereby declare that the information stated in this form are true, correct and complete.
20) Nama Orang Diberi Kuasa *Name of Authorized Person *
21) No. Kad PengenalanIdentity Card No.
22) No. Pasport *Passport No. *
23) KewarganegaraanNationality
24) JawatanDesignation
25) TarikhDate
26) Tandatangan *Signature *
Wajib untuk warga negara asing (Mandatory for foreign citizen)
Baru (New) * Lama (Old)
HH (DD) - BB (MM) - TTTT (YYYY)
UNTUK KEGUNAAN PEJABAT (FOR OFFICE USE ONLY)
Tarikh Diterima *Received Date *
HH (DD) - BB (MM) - TTTT (YYYY)
Tarikh Cop Pos *Postmark Date *
HH (DD) - BB (MM) - TTTT (YYYY)
GST-04 | 3 / 3
19) Alamat Bank *Bank Address *
Bandar (Town)
Poskod (Postcode)
BAHAGIAN C : BUTIRAN BANK
16) Kod Bank *Bank Code *
17) Kod Jenis Akaun Bank *Bank Account Type Code *
PART C : DETAILS OF BANK
Penyata bank perlu dilampirkan bagi meneruskan permohonan ini (A bank statement must be attached in order to proceed with this application)
18) No. Akaun Bank *Bank Account No. *
Negeri (State)
P.U. (A) 190
160Copyright of the Attorney General's Chambers of Malaysia